${page.setTitle("旅行就医 | 套餐查询")}
<div class="gp-rms-order rms-template" id="g-cfg" data-fo-totop="0"  >
  ${token()}
	<form action="${rmsServer}/order/init" name="rmsOrderVO" id="orderInitForm">
		<input type="hidden" name="jsonConditionVO" value='${jsonConditionVO}' id="ConditionVO"/>
		<!-- 以下数据取自异步的套餐查询  /search/result 接口中对应的data数据，提交时到下单页面，并提交整个表单，所有字段均不能为空 -->
		<input type="hidden" name="jsonComboData" class="jsonComboData" value=''/>
	</form>
	<div class="header"></div>
	<div class="g-container ">
	<div class="orderOne">
		<div class="top">
			<ul class="g-clear">
				<li><i>目的地：</i>${orderConditionVO.stopCity}</li>
				<li><i>交通工具：</i><#if orderConditionVO.vehicle=="0">飞机<#else>火车</#if></li>
				<li><i>出发城市：</i>${orderConditionVO.startCity}</li>
				<li><i>出发日期：</i>${orderConditionVO.startDate}</li>
				<li><i>出行人数：</i>${orderConditionVO.peopleNum}人</li>
				<li><i>预定房间：</i>${orderConditionVO.orderRoom}间</li>
				<li><i>入住天数：</i>${orderConditionVO.arrivalDays}晚</li>
				<li><i>陪诊服务：</i><#if orderConditionVO.medicalServices>需要<#else>不需要</#if></li>
			</ul>
			<a href="${rmsServer}/index?orderid=${orderConditionVO.orderId}"  class="gbn gbt-gray js-toback">返回</a>
		</div>
		<div class="journey journey-loadding g-clear">
			   正在为您查询，请耐心等待哦~
		</div>
		<div class="bottom hide">
		    <span class="ri scissors-icon"></span>
		    <span class="price">套餐价：<em><i class="load-icon"></i></em></span>
		    <a href="javascript:;" class="gbb gbt-off js-onebt">已确认，下一步</a>     
		</div>
		<div  class="ordererror g-clear hide">
				<span class="g-left ri tips-icon"></span>
				<span class="g-left text">
						<h1>温馨提示：没有符合条件的套餐！</h1>
						<p class="retry-text">请重新选择！</p>
						<p class="hide js-retry"><a class="gbb gbt-blue1" href="javascript:;">重试</a></p>
				</span>
		</div>
	</div>
	 <div class="orderTwo hide g-clear">
				<div class="g-left left-message">
				   <form action="${rmsServer}/order/submit"  method="post" name="rmsOrderVO">
				    <div class="blue-title">出行人员信息</div>
					<div class="top-box">
						<!-- <ul><li><i>从常用就诊人选择：</i><label><input type="checkbox" />张三  </label> <label><input type="checkbox" />李四</label><label><input type="checkbox" />王五</label></li></ul> -->
						 <div class="g-tips-box-error hide">
						   		<span class="gi gi-error"></span>
						   		<span class="content">
            						
						   		</span>
						  </div>
						<table >
							<colgroup>
								<col width="170px">
								<!-- <col width="160px"> -->
							    <col width="284px"/>
							</colgroup>
							<thead>
								<tr>                                              
									<td class="first">姓名</td>
									<#-- <td>证件类型</td> -->
									<td>身份证号码</td>
								</tr>
							</thead>
							<tbody>
								<#list 0..(orderConditionVO.peopleNum-1) as numIndex>
								   <tr> 
										<td class="first"><input type="text" data-required="1" pattern="^[\u4e00-\u9fa5]{0,}$" data-message="请输入中文"  class="text name" name="consumerDOs[${numIndex}].name"/></td>
									<#-- 	<td>
											<select name="consumerDOs[${numIndex}].idcardType">
												<option value="ID">身份证</option>
											</select>
										</td> -->
										<td><input type="text" data-required="1" data-message="请输入正确的证件号" pattern="^([1-9]\d{5}[1-9]\d{3}((0\d)|(1[0-2]))(([0|1|2]\d)|3[0-1])\d{3}[\d|x|X])|([1-9]\d{7}((0\d)|(1[0-2]))(([0|1|2]\d)|3[0-1])\d{3})$" class="text long cardNo" name="consumerDOs[${numIndex}].idcardNo"/></td>
									</tr>
								</#list>
							</tbody>
						</table>
					
					</div>
					<div class="blue-title">联系人信息</div>
					<div class="bottom-box">
						 	 <ul class="gfm-line">  
								<li class="gfm-item">
				            		<span class="gfm-left">姓名：</span>
				            		<input type="text" class="gfm-input name"  data-required="1"  pattern="^[\u4e00-\u9fa5]{0,}$" data-message="请输入中文" value="" name="contactVO.name" />  
				            	</li>   
				            	<li class="gfm-item">
				            		<span class="gfm-left">手机号码：</span>
				            		<input type="text" class="gfm-input tel"  data-required="1" pattern="^1\d{10}$" data-message="请输入正确的手机号码" value="" name="contactVO.mobile" />  
				            	</li>   
				            	<li class="gfm-item">
				            		<span class="gfm-left">Email：</span>
				            		<input type="email" class="gfm-input email"  data-required="1" value="" name="contactVO.email" />  
				            	</li>   
				            	<li class="gfm-item checkbox">
				            		<span class="gfm-left">&nbsp;</span>
				            		<label><input type="checkbox"  data-required="1" value="" name="agree" >我已同意&nbsp;<a href="${guahaoServer}/my/lxjy/responsible" class="blue" target="_blank">免责条款</a></label>
				            	</li> 
				            	<li class="gfm-item action">
				            		<span class="gfm-left">&nbsp;</span>
				            		<a class="gbb gbt-blue1 js-next"  href="javascript:;">下一步</a>
				            		<a class="toback blue" href="javascript:;" >返回上一步</a>
				            	</li> 
				              </ul>
				        
					</div>
				 </form>
				<div class="formation-content hide">
				  <div class="blue-title">确认信息</div>
				  <table class="formation-box ">
						<colgroup>
							<col width="60px">
							<col width="630px">
						    <col width=""/>
						</colgroup>
						<tbody>
							 <tr class="travel-peple">
							 	<td class="tip">出行人员</td>
							 	<td colspan="2" class="travelman-box">
							 	</td>
							 </tr>
							 <tr class="link-man">
							 	<td class="tip">联系人</td>
							 	<td colspan="2" class="linkman-box">
								</td>
							 </tr>
					    </tbody>
				    </table>
				    <div class="action">
					    <a href="javascript:;" class="gbb gbt-blue3 js-ok">确认，下一步</a>
					    <a href="javascript:;" class="reset-cancle js-cancle">返回修改</a>
				    </div>
				</div>
				</div>
				<div class="g-left right-tips">
						<span class="paperclip"></span>
						<div class="tips-bg tips-top"></div>
						<div class="tips-bg tips-content">
							<h1>已选服务</h1>
							<dl>
								<dt>旅行就医自助套餐</dt>
								<dd>包含内容：</dd>
								<dd class="service"></dd>
								<dd class="price">套餐价：<em></em></dd>
							</dl>
						</div>
						<div class="tips-bg tips-bottom">
						</div>
				</div>
		</div>
	</div>
</div>
